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抗酸疗法降低胃液酸度——传统口服抗酸剂与西咪替丁的比较

Antacid regimen in reducing gastric fluid acidity--comparison of conventional oral antacids with cimetidine.

作者信息

Channa A B, Seraj M A, Istafan M Y, Khan F M

出版信息

Middle East J Anaesthesiol. 1985 Jun;8(2):99-107.

PMID:4046881
Abstract

281 patients, divided into two groups, were given single 30 ml dose of five different conventional oral antacids (sodium citrate, 0.3 M Maalox, Gelusil, Alludrox and Mucaine), separately and in combination with Cimetidine to study their effect on decreasing the acidity of stomach contents. In 181 patients receiving varying types of conventional oral antacids, 2-10 percent of the patients had pH less than 3, regardless of the antacid received. In 100 patients of Cimetidine plus antacid group, none of the patients had pH less than 4.83, maximum being 8.2. With thick particulate oral antacids, no-mix between gastric juice and antacid was noticed in approximately 5-10 percent of cases. Cimetidine combined with oral antacid was the safest regimen to reduce the gastric fluid acidity.

摘要

281名患者被分为两组,分别给予单剂量30毫升的五种不同传统口服抗酸剂(柠檬酸钠、0.3M氢氧化铝镁、胃仙-U、胃舒平及胃溃宁),并与西咪替丁联合使用,以研究它们对降低胃内容物酸度的作用。在181名接受不同类型传统口服抗酸剂的患者中,无论服用何种抗酸剂,有2%-10%的患者胃内pH值低于3。在100名西咪替丁加抗酸剂组的患者中,没有患者的pH值低于4.83,最高为8.2。对于浓稠颗粒状口服抗酸剂,约5%-10%的病例中未发现胃液与抗酸剂混合。西咪替丁与口服抗酸剂联合使用是降低胃液酸度最安全的方案。

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